Healthcare Operations Specialist

About the role

We are looking for a Healthcare Operations Specialist to support US‑based healthcare providers from our Edge Pakistan office. The role requires on‑site work in a fast‑paced medical practice environment, acting as a bridge between patients, providers, and insurers.

Key responsibilities

• Answer and manage incoming patient calls, schedule visits, and confirm appointments to optimize provider calendars.
• Tri­age inbound calls, escalate urgent clinical cases, and log all interactions accurately.
• Collect and verify patient registration and insurance details, confirming eligibility and benefits.
• Track and follow up on patient balances overdue 90+ days and handle basic billing, referral, and prior‑authorization inquiries.
• Obtain external medical records, process lab orders, upload test results, and manage prescription‑refill workflows.
• Monitor EHR inboxes, update patient charts in a HIPAA‑compliant manner, and maintain clean task queues.

Required profile

• Prior experience in a US healthcare administrative or medical office role.
• Comfortable working on‑site at the Edge Pakistan office.
• Familiarity with athenahealth (Athena) and Spruce platforms; competency with telehealth tools, Slack, Microsoft Teams, and digital document applications.
• Strong understanding of US health‑insurance basics (PPO/HMO, copays, deductibles, prior authorizations) and ICD/CPT terminology.
• Excellent written and spoken English, high attention to detail, and a patient‑centered phone manner.

Required skills

• athenahealth (EHR) platform
• Spruce platform
• Slack communication tool
• Microsoft Teams
• Telehealth coordination platforms